HomeMy WebLinkAbout11-24-14 NOTICE OF INHERITANCE TAXpennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX Q117 REV-1547 EY AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-RECORDED OFFICE OF'
REGISTER OF 'NILLS DATE 11-17-2014
ESTATE OF DERSIN DORIS L
?014 NOU 2_9 F n 1 13 DATE OF DEATH 10-22-2013
FILE NUMBER 21 13-1248
C L.E R", 0 F COUNTY CUMBERLAND
HENNINGER O"RRP Wfrfej C R -R 101
ACN
FRNT 20
ki APPEAL DATE: 01-16-2015
339 W G�k WM' R D' (See reverse side under(Objections)
HERSHEY PA 17033-2097 Amount Remittedi
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4- __6i---------------
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Rjj:154j_ i AFP 08 3) TIC OF INHERITANCE T AP RAI MEN ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DERSIN DORIS LFILE NO. :21 13-1248 ACN: 101 DATE: 11-17-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00, credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 7,453.28
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 87,971 . 15
8. Total Assets (8) 95,424.43
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 14,465.81
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 1 ,904.03
11. Total Deductions (11) 16,369.84
12. Net Value of Tax Return (12) 79,054.59
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 79,054.59
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate CIS) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 79,054-59 x 045 = 3,557.46
17. Amount of Line 14 at sibling rate (17) nn , x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 3,557.46
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-23-2014 CDO19459 .29- 3,563.97
TOTAL TAX PAYMENT 3,563.68
BALANCE OF TAX DUE 6.22CR
INTEREST AND PEN. .00
TOTAL DUE 6.22CR
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.